内镜鼻手术显著降低了慢性鼻炎患者的欧斯塔希管功能障碍症状:系统性审查和元分析
Kai-Shan Yang1, Wei-Chih Chen1, Ching-Nung Wu1,2
1Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
Biomedicines
|November 27, 2024
概括
透视鼻手术 (ESS) 在患有慢性鼻炎和ETD症状的成年人中显著改善了欧斯塔基管功能. 手术后的ETD得分显示了手术后明显的改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术创新 在外科创新.
背景情况:
- 尤斯塔基管功能障碍 (ETD) 经常与慢性鼻炎 (CRS) 发生.
- 评估内镜后鼻手术 (ESS) 后ETD改善对于CRS管理至关重要.
研究的目的:
- 系统地审查和评估ESS后的欧斯塔基管功能在成年CRS患者手术前ETD.
- 用验证的患者报告的结果措施量化ESS对ETD症状的影响.
主要方法:
- 在主要数据库 (PubMed,Cochrane,Embase,MEDLINE) 进行系统的文献搜索,遵循PRISMA指南.
- 包括对接受ESS并发ETD的CRS患者的观察性研究.
- 使用随机效应模型对尤斯塔希管功能障碍问卷 (ETDQ-7) 得分的元分析.
主要成果:
- 包括7项涉及436名患者的观察性研究.
- 在手术后3个月的随访中观察到ETDQ-7得分的统计显著下降 (SMD = -1.24;95% CI = -1.64至 -0.84).
- 在这个患者队列中,ESS对欧斯塔基管功能产生了积极影响.
结论:
- 透视鼻手术是一种有效的干预措施,用于改善成人CRS患者的尤斯塔基管功能,同时患有ETD.
- 进一步的前性随机对照试验是有必要的,以确定在ESS后改善ETD结果的预测因素.
更多相关视频
09:07Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
2.2K
07:06Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
3.7K
相关概念视频
01:30Epistaxis
134
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
134
01:29Suctioning the Nasopharyngeal Airway
283
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
283
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
173
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
173
01:23Chronic Pharyngitis
1.2K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.2K
01:26Endoscopic Studies II: Thoracocentesis
204
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
204
01:15Endotracheal Intubation I: Procedure
752
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
752